Tribal Maternal, Infant, and Early Childhood Home Visiting

Active

Assistance listing
93.872
Agency
Grant awards
78 $314,745,442 in federal obligations

Program facts

Also known as
Tribal MIECHV, Tribal Home Visiting, Tribal Research Center for Early Childhood Development and Systems (TRCECS)
Assistance type
  • Cooperative Agreement
Treasury account
  • 75-0321-0-1-506
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Health and Human Services Administration for Children and Families funds evidence-based home visiting services for American Indian and Alaska Native families through five-year cooperative agreements under CFDA 93.872, with the most recent award issued September 30, 2026.

The program awards exclusively as Cooperative Agreements (100 percent of 78 awards since 2016). Recent activity shows a concentration in 2023, when 34 awards were made; the program issued 6 awards each in 2024 and 2025, and 1 award in 2026. Combined federal dollars obligated total $314.7 million across the portfolio, with an additional $11.1 million in non-federal cost-share, indicating modest matching requirements. All 78 awards have been funded by the Administration for Children and Families.

Funded activities center on home visiting services for pregnant women and families with children from prenatal through kindergarten entry. Representative awards support implementation of evidence-based home visiting models serving specific tribal populations: Chickasaw Nation Tribal Maternal, Infant and Early Childhood Home Visiting Program ($2.36 million, July 2025); Healthy Generations ($1.41 million, July 2025); Cama'i Home Visiting Expansion Project ($1.88 million, July 2025). Awards fund direct home visiting delivery, continuous quality improvement systems, early childhood systems development, and research and evaluation activities. Programs emphasize cultural integration and trauma-informed approaches; many incorporate tribal traditions, language preservation, and community connectedness alongside evidence-based models such as Parents as Teachers and Nurse-Family Partnership. Award magnitudes typically range from $1 million to $4 million; the largest recent award was the Tribal Early Childhood and Family Economic Well-Being Research Center ($250 thousand, September 2026), supporting research infrastructure across multiple tribal early childhood programs.

Eligible applicants are federally recognized Indian tribes, tribal consortia, tribal organizations, and urban Indian organizations as defined by the Indian Health Care Improvement Act. Applications undergo eligibility screening, merit review by expert panels, and funding consideration within broader portfolio context; ACF reserves the right to fund applicants at amounts lower than requested and to evaluate geographic distribution of awards.

An open solicitation, HHS-2027-ACF-ECD-TH-0003 (Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation Grants), was posted July 17, 2026 as a forecast. A prior cycle, HHS-2025-ACF-ECD-TH-0106 (posted July 30, 2024, due April 4, 2025), supported development, implementation, sustaining, or expansion of home visiting programs.

Objective and description

Objective

The Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Grant Program awards five-year cooperative agreements that support evidence-based home visiting services for American Indian and Alaska Native (AI/AN) families and children. Elig

Description

The Tribal Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program makes awards to Tribes (or consortia of Tribes), Tribal Organizations, and Urban Indian Organizations, to strengthen and improve maternal and child health services, improve service coordination for at-risk communities, and identify and provide comprehensive evidence-based home visiting services to families who reside in at-risk communities.

Eligibility

Applicant eligibility

Specifically: Eligible applicants are federally recognized Indian tribes (or consortia of tribes), tribal organizations, and urban Indian organizations, as defined by section 4 of the Indian Health Care Improvement Act, Public Law 94-437. Applications from individuals (including sole proprietorships) and foreign entities are not eligible and will be disqualified from the merit review and funding under this funding opportunity. Faith-based and community organizations that meet the eligibility requirements are eligible to receive awards under this funding opportunity.

Beneficiary eligibility

Eligible families in at-risk AIAN communities include pregnant women, expectant fathers, parents, and primary caregivers of children aged birth through kindergarten entry, including grandparents or other relatives of the child, foster parents who are serving as the child's primary caregiver, and non-custodial parents who have an ongoing relationship with, and at times provide physical care for, the child. Specifically: • Eligible families residing in at-risk American Indian/Alaskan Native communities in need of such services, as identified in a needs assessment; • Low-income eligible families; • Eligible families who are pregnant women under age 21; • Eligible families with a history of child abuse or neglect or have had interactions with child welfare services; • Eligible families with a history of substance abuse or need substance abuse treatment; • Eligible families that have users of tobacco products in the home; • Eligible families that are or have children with low student achievement; • Eligible families with children with developmental delays or disabilities; and • Eligible families who, or that include individuals serving or formerly serving in the Armed Forces, including those with members who have had multiple deployments outside the US. Eligible family: • A woman who is pregnant, and the father of the child if available, or • A parent or primary caregiver of the child, including grandparents or other relatives and foster parents serving as the child's primary caregiver from birth until kindergarten entry, including a noncustodial parent with an ongoing relationship with, and at times provides physical care for the child.

Uses of assistance

Uses: Assistance for the Tribal MIECHV Program will be used to: (a) conduct a needs assessment that considers community characteristics and the quality and capacity of existing home visiting programs and other supportive services; (b) is coordinated with other relevant needs assessments and involves community stakeholders as appropriate; (c) planning efforts to address identified needs by developing capacity and infrastructure; (d) providing high-quality, evidence-based home visiting services to pregnant women and families with young children aged birth to kindergarten entry; (e) establishing, measuring, and reporting on progress toward meeting performance measures in six legislatively-mandated benchmark areas; and (f) conducting or participating in rigorous evaluation activities.

Length and time phasing of assistance

Tribal MIECHV cooperative agreements are generally awarded for a 63-month project period with one 15-month budget period in Year 1 followed by four 12-month budget periods. In the first year of the project, awards will be made on a competitive basis. Pending successful completion of Year 1 activities, including submission of a plan that meets program requirements, and approval of this plan, applications will be considered on a noncompetitive continuation basis for Years 2-5 subject to availability of funds, satisfactory progress of the recipient , and a determination that continued funding would be in the best interest of the Federal Government.

How to apply

Criteria for selecting proposals

Applications will be evaluated based upon the criteria published in each NOFO.

Award procedure

Each application is reviewed against four factors: eligibility, the application deadline, required electronic submission or waiver requested and approved, and the Award Ceiling. If the application does not meet all of these factors, then it is disqualified from the merit review process. After the initial review, applications are reviewed and evaluated by merit review panels using only the criteria described in the Application Review section of the NOFO. Each panel is composed of experts with knowledge and experience in the area under review. Generally, review panels include three reviewers and one chairperson. While merit review scores and their ranking are not binding, ACF does consider them when selecting projects for funding. Scores and rankings are only one element used in the award decision-making process. Other criteria are explained in the Program Description section and in the Application Review section of the NOFO. For example, ACF reserves the right to evaluate applications in the larger context of the overall portfolio by considering the geographic distribution of federal funds (e.g., ensuring coverage of states, counties, or service areas) in its pre-award decisions. ACF may elect not to fund applicants with management or financial problems that would indicate an inability to successfully complete the proposed project. In addition, ACF may elect to not allow a prime recipient to subaward if there is any indication that they are unable to properly monitor and manage subrecipients. Applications may be funded in whole or in part. Successful applicants may be funded at an amount lower than requested.

Renewals

Non-competing continuations will be issued based on availability of funds, satisfactory progress meeting the requirements of the Tribal MIECHV program, compliance with terms and conditions and a determination that continuation funding is in the best interest of the federal government.

Appeals

There is no appeal process for unsuccessful applicants. For existing recipients, appeals in regards to disputes may take place in accordance with 45 CFR Part 16, subject to the limitations of the Appendix A.

Grant opportunities

Grant awards

Latest 10 of 78 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Choctaw Nation Of Oklahoma $17,624,468 6%
2 Inter-Tribal Council Of Michigan Inc. $16,228,634 5%
3 Southcentral Foundation $15,261,385 5%
4 Riverside-San Bernardino County Indian Health, Inc. $13,219,027 4%
5 Eastern Band Of Cherokee Indians $13,105,672 4%
6 Cook Inlet Tribal Council, Inc. $11,369,668 4%
7 Native Health $10,993,277 3%
8 Native American Health Center, Inc. $10,756,464 3%
9 United Indians Of All Tribes Foundation $9,853,898 3%
10 Lake County Tribal Health Consortium, Inc. $9,511,913 3%

10 of 53 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $37,908,224
FY2025 $65,829,670
FY2024 $49,442,207
FY2023 $42,890,593
FY2022 $35,990,227
FY2021 $15,541,072
FY2020 $11,881,400
FY2019 $24,818,045
FY2018 $13,717,015
FY2017 $9,770,000
FY2016 $10,055,000
Show all 11

Quick answers

What is Assistance Listing 93.872?

Assistance Listing 93.872 is Tribal Maternal, Infant, and Early Childhood Home Visiting, a federal grant program run by Administration for Children and Families (Department of Health and Human Services).

What is the CFDA number for Tribal Maternal, Infant, and Early Childhood Home Visiting?

Its CFDA number is 93.872: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.872 awarded?

78 grant awards under 93.872 have obligated $314,745,442 in federal funds to 53 recipients.

Who receives the most funding from 93.872?

The recipients obligated the most under Tribal Maternal, Infant, and Early Childhood Home Visiting are Choctaw Nation Of Oklahoma ($17,624,468), Inter-Tribal Council Of Michigan Inc. ($16,228,634) and Southcentral Foundation ($15,261,385).

How much did 93.872 obligate in fiscal year 2025?

Grants under 93.872 obligated $65,829,670 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.872?

1 listed opportunity under 93.872 is open or forecasted. The latest, Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation Grants, was posted on July 17, 2026.

On GovTribe

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